Individual
SARAH SMIDSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
690 E WARNER RD, GILBERT, AZ 85296-3054
(480) 444-2434
Mailing address
690 E WARNER RD, GILBERT, AZ 85296-3054
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-16716
AZ
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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